STEPHEN DALE FANNIN


Address: 2801 Turnpike Rd, Portsmouth, VA 23707-4630
Phone: 7573938766

STEPHEN DALE FANNIN (NPI# 1417459132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417459132
Entity Type Individual
Full Name STEPHEN DALE FANNIN
Credential ED.S.
Practice Address 2801 Turnpike Rd
Portsmouth
VA 23707-4630
Mailing Address 325 Colony Rd
Newport News
VA 23602-6342
Practice Telephone 7573938766
Mailing Telephone 7578773132
Enumeration Date 2018-03-08
Last Update Date 2018-03-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers STEPHEN FANNIN

NPI Name Taxonomy Address Enumeration
1023129038 Stephen W Fannin Internal Medicine 95 Arch St, Akron, OH 44304-1437 2006-08-31

Office Location

Street Address 2801 TURNPIKE RD
City PORTSMOUTH
State VA
Zip Code 23707-4630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639687635 Thomas Byrnes IIi Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-01-12
1750988291 Stephanie Egan Occupational Therapist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2020-10-07
1013552264 Zachariah Scott Class Occupational Therapist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2019-11-12
1154963262 Kathryn Paige Daniels Occupational Therapy Assistant 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2019-10-09
1124515366 Nell Fearing King Speech-Language Pathologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-04-13
1699279547 Deborah K Mayes Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-23
1023512977 Tilda Sorensen Occupational Therapist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-23
1366946378 Michaela Georgette Mccracken Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-23
1215431515 Dee-anna Cormier Staylor Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-21
1851895072 Donna Seeland Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104392125 Meighan Noelle Stevens Psychologist 1225 Gallia St, Portsmouth, OH 45662-4216 2018-10-17
1639687635 Thomas Byrnes IIi Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-01-12
1144833757 Gregory Williams Psychologist 1225 Gallia St, Portsmouth, OH 45662-4216 2020-08-25
1699279547 Deborah K Mayes Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-23
1366946378 Michaela Georgette Mccracken Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-23
1215431515 Dee-anna Cormier Staylor Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-21
1851895072 Donna Seeland Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-21
1639673932 Paula Rinebolt Shirk Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-21
1598268070 Barbara Banze Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-12
1306348099 Kelley Rice Psychologist 2801 Turnpike Rd, Portsmouth, VA 23707-4630 2018-03-08
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23707

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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